Classic Medical Practice

LBN: Classic Medical Practice
Classic Medical Practice is an health care organization with primary practice located at 540 North Ave Ste 3 , Union NJ 07083-7149. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Classic Medical Practice can be contacted via phone (718) 753-1721, or through Okoro, Daniel via phone (908) 230-2750.

Contact Information

Primary practice address
540 North Ave Ste 3 Union NJ 07083-7149
Phone: (718) 753-1721
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Okoro, Daniel DNP, APN
Phone: (908) 230-2750

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1255165072
LBN Legal business name Classic Medical Practice
DBA Doing business as
Authorized official Okoro, Daniel DNP, APN
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2024
Last updated Aug 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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